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<html>
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 <body> 
  <div class="wrap"> 
      <div class="index_bg point_bg" style="height:auto;">
          
        <div class="point_content2 point_content4">
           <div class="">
                <img src="images/12.png">
            </div>            
            <div class="ok_form" style="margin-bottom:190px;">
                <div class="ok_form_tip">
                    <img src="images/13.png">
                </div>
               <form>
                  <div class="form-group">
                    <label class="sr-only">姓名</label>
                    <input type="text" class="form-control name" value="姓名" onfocus="if(this.value == '姓名') this.value = ''" onblur="if(this.value =='') this.value = '姓名'" >
                  </div>
                   <div class="form-group sex form-control">
                    性别
                    <div class="radio">
                      <label>
                        <input type="radio" name="sex" id="blankRadio1" value="man" aria-label="">男性
                      </label>
                        <label>
                        <input type="radio" name="sex" id="blankRadio1" value="feman" aria-label="">女性
                      </label>
                    </div>
                  </div>
                   <div class="form-group sex form-control birthday">
                    生日
                    <select class="birthday_select">
                      <option>年</option>
                      <option>2</option>
                      <option>3</option>
                      <option>4</option>
                      <option>5</option>
                    </select>
                    <select class="">
                      <option>月</option>
                      <option>2</option>
                      <option>3</option>
                      <option>4</option>
                      <option>5</option>
                    </select>
                    <select class="">
                      <option>日</option>
                      <option>2</option>
                      <option>3</option>
                      <option>4</option>
                      <option>5</option>
                    </select>
                  </div>
                   <div class="form-group">
                    <label class="sr-only">手机</label>
                    <input type="text" class="form-control tel" value="手机" onfocus="if(this.value == '手机') this.value = ''" onblur="if(this.value =='') this.value = '手机'">
                  </div>  
<!--
                   <div class="form-group">
                    <select class="form-control shengfen">
                      <option>省&nbsp;&nbsp;&nbsp;&nbsp;份</option>
                      <option>2</option>
                      <option>3</option>
                      <option>4</option>
                      <option>5</option>
                    </select>
                  </div>
-->
                 <div class="form-group sex form-control birthday">
                    省份
                    <select class="birthday_select">
                      <option>省</option>
                      <option>2</option>
                      <option>3</option>
                      <option>4</option>
                      <option>5</option>
                    </select>
                    <select class="">
                      <option>市</option>
                      <option>2</option>
                      <option>3</option>
                      <option>4</option>
                      <option>5</option>
                    </select>                    
                  </div>           
                  <button type="submit" class="btn btn-default" style="position:absolute; left:184px; margin-top:44px;"></button>
                </form>
            </div>
<!--
            <div class="point_btn" style="margin-top:50px; padding-bottom:35px;">
                <a href="#"><img src="images/3.png"></a>
            </div>
-->
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          <div class="index_bubble">
            <img src="images/bubble.png">
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            <img src="images/bubble.png">
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